| NPI | 1073873832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101273717) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 274551) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2022-03-17 |