| NPI | 1831519552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2021-00546) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD459143) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2023-03-17 |