| NPI | 1891175980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD473152) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60944164) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2021-09-16 |