| NPI | 1306835848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A101674) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 2334221) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2011-11-29 |