| NPI | 1487749453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 63583) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 205560) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-09-20 |