| NPI | 1639471568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2022-00135) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD443272) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2022-09-01 |