| NPI | 1376100529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 320150) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 73274) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2024-02-29 |