NPI | 1427039544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD046565L) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD046565L) |
208D00000X General Practice (Licence: PA MD046565) | |
Enumeration Date | 2005-11-07 |
Last Update Date | 2023-10-03 |