| NPI | 1215197413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A120805) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 390200000X) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2024-01-03 |