| NPI | 1215957162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 50442) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 234047) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-11-27 |