| NPI | 1780694489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 253197) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101237926) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2014-01-09 |