| NPI | 1518920099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM 88-149) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 24905) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 147803-1) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2020-07-15 |