| NPI | 1538555131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 4961) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 297436-1) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2023-01-24 |