| NPI | 1639559545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB10576400) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 39020000X) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2020-10-21 |