| NPI | 1184956286 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09272200)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 255654)  | 
| Enumeration Date | 2010-02-01 | 
| Last Update Date | 2016-11-29 |