| NPI | 1588040794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA a171982) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 300462) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2023-01-17 |