| NPI | 1104262153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NY 289072) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 289072) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT203588) | |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2021-07-15 |