NPI | 1568993798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 322528-01) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD472427) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2023-09-13 |