| NPI | 1194802173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 162139) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 162139) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-01-28 |