| NPI | 1003259581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 321308-01) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 58188) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2023-05-01 |