| NPI | 1396133252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID 8461173) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 277644) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2025-03-18 |