| NPI | 1457584708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 276531) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB09524100) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2021-03-30 |