| NPI | 1437421856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10269600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 272445) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2024-12-18 |