| NPI | 1679937619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A168236) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 320398) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2025-03-31 |