| NPI | 1922457589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS020504) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT017237) |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2022-04-20 |