| NPI | 1710349188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 76767) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD471311) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2024-02-09 |