| NPI | 1699764274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A061553) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 233604) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2017-02-16 |