| NPI | 1962883587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.140195) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT209133) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2020-10-16 |