| NPI | 1790707263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 144422) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 144422) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2019-06-25 |