| NPI | 1710177647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 244621) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 244621) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2023-07-26 |