| NPI | 1386006674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 34.015511) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT017057) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0102206070) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2023-05-09 |