| NPI | 1578940979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 300737) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD P31321) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2021-04-14 |