| NPI | 1679849855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD454871) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD454871) |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2024-10-31 |