| NPI | 1922492131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 319370) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD466896) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2026-03-12 |