NPI | 1003968512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 164162-1) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 164162) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2012-09-07 |