| NPI | 1669993036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 311726) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 311726) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301113404) | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2023-07-17 |