| NPI | 1669402921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD070912L) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 29197) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-01-10 |