| NPI | 1861054546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD482464) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT217838) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2023-10-03 |