| NPI | 1598082505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 30906) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 274636) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2022-01-12 |