| NPI | 1851473219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 212893) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME99269) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2022-11-02 |