| NPI | 1962445684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 56749) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 200058) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-12-08 |