| NPI | 1083068258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD210002669) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 306397) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2024-01-09 |