| NPI | 1619356615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD478255) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2019008875) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2022-08-08 |