| NPI | 1356597199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A127897) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 255955) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2021-12-15 |