| NPI | 1346265840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS 9444) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 229775-1) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-07-09 |