| NPI | 1720049158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD050297L) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 177827) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2023-03-21 |