| NPI | 1336309855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 277006) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT193592) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2023-04-04 |