| NPI | 1033304803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 256322) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 256322) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2014-05-20 |