| NPI | 1356577977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 273957) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME116416) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2023-05-01 |