| NPI | 1730677527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 312539) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NJ H60011678851902) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2024-09-12 |