| NPI | 1306378583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 311539-01) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME167190) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2024-03-28 |