| NPI | 1831392992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D85904) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 240424-1) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2018-08-29 |