| NPI | 1417287764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2010-00936) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 248266) |
| Enumeration Date | 2010-01-09 |
| Last Update Date | 2021-08-18 |