| NPI | 1649634882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 281152) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ZZ 91340) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |