| NPI | 1235366949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 134075) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 258390) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2021-11-03 |