| NPI | 1003136946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL 132099) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 274919) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2019-08-27 |