| NPI | 1295147619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0024395) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD475776) |
| 207V00000X Obstetrics & Gynecology (Licence: MD 8968) | |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2021-10-05 |