| NPI | 1588051221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME152143) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 291764445) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2026-08-19 |