| NPI | 1710484076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 328071) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 19911) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2024-08-21 |