| NPI | 1700963121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD204324) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 219700) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 219700) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-07-09 |