| NPI | 1043468200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 263513) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101248826) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2013-03-26 |