| NPI | 1750519880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A12726) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 274346-113) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2016-10-19 |