| NPI | 1760579858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 199459) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 199459) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 199459) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2011-09-20 |