| NPI | 1710283544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 284457) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101249715) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2017-07-06 |