| NPI | 1083879548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 291707) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL MD 28435) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2018-03-17 |