| NPI | 1053571430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 279975) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 235371) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2021-03-17 |