| NPI | 1619971975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 211448) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 211448) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2023-02-01 |