| NPI | 1316175904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS015895) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA FS0431534) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2025-04-25 |