| NPI | 1649596362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WI 74878-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 276027) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2023-03-08 |