| NPI | 1891885984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 16338) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 261494) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-06-21 |