| NPI | 1356356919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 205127) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ MA06651300) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2016-11-17 |