| NPI | 1548544364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09157500) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 256282) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2017-01-24 |