| NPI | 1720217961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 49092) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 003383) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2013-04-22 |