| NPI | 1780096982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 3042942) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 304942) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2023-07-03 |