| NPI | 1669998134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 309635) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2026-00760) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2026-05-27 |