| NPI | 1386742732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 53096) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 223532-1) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-08-07 |