| NPI | 1770075939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 317554) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT215569) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2023-08-10 |