| NPI | 1174814511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 148166) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 269424) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2021-12-17 |