| NPI | 1285619510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: KY 44048) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 237268-1) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2012-04-17 |