| NPI | 1265674782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: VT 042-0016540) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NY 262651) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301102133) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MI 4301102133) | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2025-09-18 |