| NPI | 1174977623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ND 22009) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 304939) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2025-06-23 |