| NPI | 1558570374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD438568) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301104028) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-11-09 |