| NPI | 1891193330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 111964) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 295368) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2023-06-22 |