| NPI | 1386176329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 330461) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 89109) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-08-19 |