| NPI | 1699129817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS020747) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 3314) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2023-06-16 |