| NPI | 1417218892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB09351200) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 264011) |
| Enumeration Date | 2012-06-02 |
| Last Update Date | 2022-10-27 |