| NPI | 1811988264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 243181) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 224101) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2021-04-26 |