| NPI | 1275527087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 212616-01) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 02002888) |
| 363AM0700X Physician Assistant Medical (Licence: NY 212616) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2023-07-22 |