| NPI | 1992091920 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DE C2-0013379)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 279064)  | 
| Enumeration Date | 2011-06-28 | 
| Last Update Date | 2019-12-02 |