| NPI | 1386620805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: NY 193148) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 193148) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2021-10-13 |