| NPI | 1730202623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD28544) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 241086) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2018-03-20 |