| NPI | 1639566888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD483836) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 58067) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2024-09-18 |