| NPI | 1649429630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 249087) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301108507) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 249087) | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2025-09-24 |