| NPI | 1205867900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 54417) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 213067) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-03-07 |