| NPI | 1558865600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD489576) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 315783) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2025-05-08 |