| NPI | 1376823948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 157249) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 280480) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2024-05-02 |