| NPI | 1154697712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10385000) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 283693) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2022-05-09 |