| NPI | 1427251461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 66496) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 244204) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2019-10-17 |