| NPI | 1861470643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 148075-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 035734) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2013-10-16 |