| NPI | 1679662811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 227653) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 227653) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2026-03-19 |