| NPI | 1134327612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS9924) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB071915200) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2015-10-06 |