| NPI | 1902165244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 282613) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 64944) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2020-06-26 |