| NPI | 1811420565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 334289) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 31268) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2025-05-08 |