| NPI | 1659781789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 17561) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 294041) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2025-03-21 |