NPI | 1285156992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD488211) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 309781) |
207Q00000X Family Medicine (Licence: PA MD488211) | |
Enumeration Date | 2017-07-13 |
Last Update Date | 2025-02-11 |