| NPI | 1114289311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 191007) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 191007) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |