| NPI | 1568808020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 86407) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT203760) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD461653) | |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2023-04-20 |