| NPI | 1396987590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD 443352) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT196017) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2021-05-11 |