| NPI | 1811263890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 282552-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD H93510) |
| 207V00000X Obstetrics & Gynecology (Licence: WV 3899) | |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2024-07-25 |