| NPI | 1821232620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 252807) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA C133069) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2021-06-30 |