| NPI | 1932596749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD478345) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0025136) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2022-09-06 |