| NPI | 1740404615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 273467) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AK 6290) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2015-02-09 |