| NPI | 1225590730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 320155-01) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 72912) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2023-10-11 |