| NPI | 1376948653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A170562) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 284811) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2023-11-13 |