| NPI | 1659588721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G83869) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 198113) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-03-24 |