| NPI | 1730594821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 308242) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 61860) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2021-03-24 |