| NPI | 1891019642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101260921) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 271561) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2020-12-31 |