| NPI | 1811511942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0026841) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD486864) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2024-09-20 |