| NPI | 1043664535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: HI AMD698) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 025905) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2024-11-06 |