| NPI | 1083057590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 289353) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 150026) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2018-07-12 |