| NPI | 1609139294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD452371) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: PA MD452371) |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: PA MD452371) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2019-09-18 |