| NPI | 1407829815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2007-00482) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 235841) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-10-06 |