| NPI | 1558624072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A140555) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 281635) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2021-12-03 |