| NPI | 1770712234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD449389) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT196149) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2021-04-07 |