| NPI | 1912943325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A83356) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 237362-1) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2021-10-25 |