| NPI | 1962814434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2023029401) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 295855) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2023-08-24 |