| NPI | 1922485697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PR 022943) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 306957) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2022-11-03 |