| NPI | 1306033014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD445031) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT193275) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301091142) | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2023-03-30 |