| NPI | 1679897540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA MD448824) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD448824) |
| 207V00000X Obstetrics & Gynecology (Licence: TX BP10025797) | |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2020-02-10 |