| NPI | 1063674919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS13366) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 60256755) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2015-12-11 |