| NPI | 1629159702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 258787) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL R8465) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-04-27 |