| NPI | 1558561704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 245264-1) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 245264-1) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |