| NPI | 1245276203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 171970-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 1719701) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2009-04-02 |