| NPI | 1790127850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 2875071) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT205014) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2023-09-07 |