| NPI | 1578026944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2025-02018) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD481751) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2025-09-08 |