| NPI | 1326066812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NJ 25MA06150600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 204463-1) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-05-31 |