| NPI | 1033265491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09785100) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 248247) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2016-08-18 |