| NPI | 1013089390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 257598) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: PA MD428007) |
| 207V00000X Obstetrics & Gynecology (Licence: CT 048700) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2013-10-16 |