| NPI | 1750353272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 28424) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH 9420) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 212325) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2025-03-21 |