| NPI | 1043627581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: NY 292325) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 274346229) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2020-07-27 |