| NPI | 1962851741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME DO3043) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT017291) |
| Enumeration Date | 2016-06-12 |
| Last Update Date | 2023-10-11 |