| NPI | 1437314218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20a12080) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 252352) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2025-12-08 |