| NPI | 1386703569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 149570) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 1495701) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2011-12-21 |