| NPI | 1275699266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 308289) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 308289) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 50732) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2023-07-07 |