| NPI | 1114009842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 045875) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 231656-1) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-03-07 |