| NPI | 1538658711 |
|---|---|
| Former Name | JACQUELINE LORRAINE KULWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 314966) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2022-08-15 |