| NPI | 1073875829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MD D87660) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 284633) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2019-07-12 |