| NPI | 1619558400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 344604) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0103950) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2026-07-31 |