| NPI | 1194952838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 256888) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 81364) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 320720-01) | |
| Enumeration Date | 2009-06-21 |
| Last Update Date | 2025-12-01 |