| NPI | 1265480222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 302048) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VT 0420008805) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-01-02 |