| NPI | 1356637532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0102205825) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 261653) |
| 207V00000X Obstetrics & Gynecology (Licence: NV DO1867) | |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2019-11-04 |