| NPI | 1588869192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 03086) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 264482) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2025-08-14 |