| NPI | 1821658188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS024102) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT019327) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2024-08-13 |