| NPI | 1093895427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 61067) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 235134) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-07-05 |