| NPI | 1710372628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 334687) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2019005178) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2026-08-28 |