| NPI | 1912032400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2004-00291) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 146556) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA04478200) | |
| 207V00000X Obstetrics & Gynecology (Licence: CA G73676) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |