| NPI | 1992297170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS022050) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT018415) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2023-06-01 |