| NPI | 1215121264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 4660) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 257356) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2024-01-16 |