| NPI | 1942375928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 186848) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G86204) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2022-03-29 |