| NPI | 1225416639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 47436) |
| Additional Taxonomies | 207VC0300X (Licence: AL 47436) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 297759-1) | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2023-11-29 |