| NPI | 1851376628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 47229) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 235898-1) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2021-06-10 |