| NPI | 1821255621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 320354) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 4036) |
| 207V00000X Obstetrics & Gynecology (Licence: RI LP00744) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2024-11-07 |