| NPI | 1053575639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 2570371) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 236359) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2015-06-30 |