| NPI | 1326247628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 223388) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 223388) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 223388) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NY 223388) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |