| NPI | 1255584306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA08605500) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 60-246723) |
| Enumeration Date | 2008-11-02 |
| Last Update Date | 2017-04-25 |