| NPI | 1679562946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 137357-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 137357) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2013-10-16 |