| NPI | 1801060082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD451130) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 104698) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD451130) | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2021-08-05 |