| NPI | 1255533063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 244463) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A92638) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2019-02-13 |