| NPI | 1760971170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD472421) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 70354) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2025-08-15 |