| NPI | 1750680021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H7832302) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H782302) |
| 207Q00000X Family Medicine (Licence: PA OS017242) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MD H7832302) | |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2021-08-05 |