| NPI | 1639169212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD032135E) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35095998) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2022-07-21 |