| NPI | 1992755425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NH 15561) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 2393731) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2012-10-22 |