| NPI | 1932330511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 284117) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301094989) |
| 208D00000X General Practice (Licence: NY 284117) | |
| 208D00000X General Practice (Licence: MI 4301094989) | |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2021-08-16 |