| NPI | 1477908515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 302888) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101282712) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2024-07-31 |