| NPI | 1699754515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 136957-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 026970) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2013-10-16 |