| NPI | 1871544536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 282753) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A87149) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2019-02-22 |