| NPI | 1295882082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 315654) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 235249) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 315654) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2023-07-17 |