| NPI | 1811286255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: AZ 64427) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD449127) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT199073) | |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NC 2015-00133) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2021-11-29 |