| NPI | 1003008111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 1536) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 253182) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2015-10-02 |