| NPI | 1366758898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09749700) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL trn15366) |
| Enumeration Date | 2010-08-21 |
| Last Update Date | 2024-08-13 |