| NPI | 1821171703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 162853-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 162853) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-06-19 |