| NPI | 1669835880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 303731) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 166983588) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2023-03-14 |