| NPI | 1053933648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 328523) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 84315) |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2026-08-19 |