| NPI | 1598007353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 59063) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 289575-1) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2024-04-08 |