| NPI | 1619992203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A55862) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 186837) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2026-09-15 |