| NPI | 1750910410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 321970) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT020148) |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2024-08-25 |