| NPI | 1730526542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 84390) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 2886281) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2023-09-06 |