| NPI | 1073073482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 320638) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 84043) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2026-06-15 |