| NPI | 1952424079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA C138997) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 246654) |
| 363AS0400X Physician Assistant, Surgical (Licence: NY 246654) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2023-07-17 |