| NPI | 1568605053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 152053) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 152053) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NY 152053) | |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2011-06-09 |