| NPI | 1336387075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY F001327) |
| Additional Taxonomies | 282NW0100X General Acute Care Hospital, Women (Licence: NY f001327) |
| 282NW0100X General Acute Care Hospital, Women (Licence: NY 589167) | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2022-08-30 |