| NPI | 1912260944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09256500) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301094788) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2023-07-06 |