| NPI | 1033504964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11685400) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0013213) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2023-12-16 |