| NPI | 1912522392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD485253) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT221187) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2024-09-16 |