| NPI | 1336438019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 29443) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD455014) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2020-07-23 |