| NPI | 1629112917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: PA MD049827L) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: KY 31792) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: OH 35.154269) | |
| 207V00000X Obstetrics & Gynecology (Licence: KY 31792) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2025-12-04 |