| NPI | 1164711370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0078926) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 296010) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 296010) | |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2024-05-03 |