| NPI | 1740436062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 073730) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 266578-1) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2025-06-13 |