| NPI | 1831506492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD459757) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA FL6486410) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2025-04-01 |