| NPI | 1770777575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD432538) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2017-01460) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2021-11-15 |