| NPI | 1386910818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD171212) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 264220-1) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2023-11-21 |