| NPI | 1225680887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 309829) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 309829) |
| Enumeration Date | 2019-07-14 |
| Last Update Date | 2024-11-07 |