| NPI | 1336808534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA SP025068) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA SP025068) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA SP025068) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: PA SP025068) | |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |