| NPI | 1902024813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD437809) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD437809) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2021-03-22 |