| NPI | 1558347955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 193306) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 031569) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2013-10-16 |