| NPI | 1255865465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 72197) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 274654) |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: GA 72197) | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2020-09-02 |