| NPI | 1962715540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 280617-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA09515300) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2015-09-07 |