| NPI | 1528299278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2015-00664) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 003691) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101250853) | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2016-01-19 |