| NPI | 1225064249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2017-00876) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 220732) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2018-05-03 |