| NPI | 1861039182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA SP032532) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA SP032532) |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2025-04-08 |