| NPI | 1548577901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS19860) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 272975) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2023-05-31 |