| NPI | 1396820130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PR 16059) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 228464) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-08-23 |