| NPI | 1134518426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10337600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 292391-1) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2019-03-08 |