| NPI | 1073050936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NY 023436-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001007021) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2021-03-05 |