| NPI | 1063760551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 270916) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09382600) |
| 207V00000X Obstetrics & Gynecology (Licence: TX P8714) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2021-03-23 |