| NPI | 1699410696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 34473) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT226983) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2026-06-12 |