| NPI | 1861020646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 334453) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP05059) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 334453) | |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2025-01-06 |