| NPI | 1710411194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 319268) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 319268-01) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2024-04-08 |