| NPI | 1619130192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 73099) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.144727) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 310806) | |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2012003510) | |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2024-02-12 |