| NPI | 1164864948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 281719) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 288825) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2020-01-27 |