| NPI | 1700847951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 208514) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 208514) |
| 207V00000X Obstetrics & Gynecology (Licence: CT 055861) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2021-02-16 |