| NPI | 1639289002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 240900) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 060490) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-07-08 |