| NPI | 1982159695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 303057-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT212128) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2020-08-06 |