| NPI | 1104880178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CO DR.0056060) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 187497) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2023-05-12 |