| NPI | 1457887572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD468411) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT213020) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2021-06-11 |