| NPI | 1689800104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 269608) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 060485) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2018-09-10 |