| NPI | 1831549823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 17273) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT017162) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2022-01-03 |