| NPI | 1689975690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 287586-01) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09414500) |
| 207V00000X Obstetrics & Gynecology (Licence: CT 67379) | |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2024-07-01 |