| NPI | 1487691754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 049283) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 237733) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2010-11-17 |