| NPI | 1184712259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 196633) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ M067371) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2019-12-04 |