| NPI | 1871926261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 336018) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 72895) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2025-05-01 |