| NPI | 1508972811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 203959) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 38157-020) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2026-07-24 |