| NPI | 1356630107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10306500) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 261802) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2022-01-26 |