| NPI | 1760698872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 049818) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 256580) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2018-11-01 |