| NPI | 1497109672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD483139) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 31298) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2024-01-25 |