| NPI | 1699017244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101263016) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 325061) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2025-05-07 |