| NPI | 1376717801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A129118) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 003036) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2024-10-23 |