| NPI | 1184640252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 318206) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 049623) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD425599) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-07-13 |