| NPI | 1023246832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 55959) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09484600) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2017-05-03 |