| NPI | 1982844130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA08529800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 242309-1) |
| Enumeration Date | 2009-03-01 |
| Last Update Date | 2015-05-18 |