| NPI | 1659767796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 298520) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 35410) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2023-06-29 |