| NPI | 1710307418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 300143) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 82645) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2025-09-04 |