| NPI | 1548616139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2021-03114) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 305971) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2024-02-16 |