| NPI | 1801209911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 28131) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 295512) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2021-07-15 |