| NPI | 1114991924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 197325) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 197325) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 197325) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2023-03-23 |