| NPI | 1356606263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C187124) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 284755) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2024-06-20 |