| NPI | 1891196366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 283540) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB09557900) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2022-07-21 |