| NPI | 1013234590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL FB7721651) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 2743051) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2021-08-22 |