| NPI | 1962027557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VC0300X Obstetrics & Gynecology, Complex Family Planning (Licence: NY 329544) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT020132) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2025-08-13 |