| NPI | 1104231588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 303292) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 60069) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2020-06-25 |