| NPI | 1669979795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 332257) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB11604600) |
| 207V00000X Obstetrics & Gynecology (Licence: ME LT24002) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-10-08 |