| NPI | 1548463540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 286619) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D86287) |
| 207V00000X Obstetrics & Gynecology (Licence: TX M7357) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2023-05-15 |