| NPI | 1982137097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD473041) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0116030501) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2024-06-20 |