| NPI | 1841325248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 035667) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 192131) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2018-11-02 |