| NPI | 1629509989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD474384) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA 390200000) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2021-09-09 |