| NPI | 1306008859 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MA07696700)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA07696700)  | 
| Enumeration Date | 2008-06-26 | 
| Last Update Date | 2022-01-26 |