| NPI | 1609192988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD451857) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0012111) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2023-05-30 |