| NPI | 1780923730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 270493) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 254927) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2021-03-26 |