| NPI | 1811239403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 90768) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 282008) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2026-03-14 |