| NPI | 1821258708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 242806) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 242806) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2012-04-05 |