| NPI | 1720030042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 229649) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 229649) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-07-21 |