| NPI | 1174512271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 209309) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 209309-1) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2013-11-15 |