| NPI | 1730314634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P5853) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09088600) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2013-08-08 |