| NPI | 1184866279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 269708-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 269708-1) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD443680) | |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2021-07-28 |