| NPI | 1083108476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 318793) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 009676) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2024-07-10 |