| NPI | 1073554614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 233235) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 57120) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD462102) | |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036118747) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2021-01-28 |