| NPI | 1548584428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10110600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A128716) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 266025) | |
| Enumeration Date | 2010-03-20 |
| Last Update Date | 2017-12-01 |