| NPI | 1992118897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 294392) |
| Additional Taxonomies | 282NW0100X General Acute Care Hospital, Women |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2022-02-10 |