| NPI | 1598051161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 280565-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT199257) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2019-07-02 |