| NPI | 1992183925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 312587) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2019015703) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2022-05-28 |