| NPI | 1285789651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 151889) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 163110) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MA 151889) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2015-04-12 |