| NPI | 1811275399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 1013856) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 262503) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2021-06-15 |