| NPI | 1861887564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A20283) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 300304) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2022-09-22 |