| NPI | 1710552377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD489221) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT223142) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2025-06-30 |