| NPI | 1275790883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 251204) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 55594) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2018-09-05 |