| NPI | 1770546939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 250376) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME0094120) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2009-01-20 |