| NPI | 1942257332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 011133) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085003146) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2022-10-17 |