| NPI | 1467891101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS018839) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT015408) |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2020-08-31 |