| NPI | 1669637419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 266018) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 122606) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2025-07-21 |