| NPI | 1255507059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 270576-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 243733) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2013-07-26 |