| NPI | 1700850013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD059749L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD059749L) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35-095097) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2021-08-05 |