| NPI | 1104243476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 68873) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 288951) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2023-08-24 |