| NPI | 1912056649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 044945) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 237942) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2013-01-10 |