| NPI | 1609301100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD473780) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI MD-22261-0) |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2025-02-03 |