| NPI | 1295935930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 308049) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 245440) |
| 207V00000X Obstetrics & Gynecology (Licence: MS 29972) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2024-06-13 |