| NPI | 1477796092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C162571) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 268466) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2020-12-28 |