| NPI | 1154771764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 304305) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL39727) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2020-08-04 |