| NPI | 1871162859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD489539) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT222622) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2025-05-20 |