| NPI | 1316434194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: KY 56606) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA STUDENT) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2024-01-29 |