| NPI | 1205299153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 69003) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 304969) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2021-08-27 |