| NPI | 1821554924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0098176) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 231131-1) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2023-08-26 |