| NPI | 1710305966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD479808) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 101264675) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2024-01-10 |