| NPI | 1356600076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 298902) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 142059) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2020-07-29 |