| NPI | 1568562130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 209657) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 209657) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2023-07-22 |