| NPI | 1669454492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 215362) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 2153621) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2013-09-26 |