| NPI | 1104488188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VC0300X Obstetrics & Gynecology, Complex Family Planning (Licence: NY 309261) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ P18-00385) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 309261) | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2026-03-31 |