| NPI | 1780982041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 51354) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 256432) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2022-12-12 |