| NPI | 1679102743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 344926) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2024-00985) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2026-08-17 |