| NPI | 1619397031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 14919) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: NJ 25MB09419000) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2018-03-17 |