| NPI | 1467879817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NJ 25MA12865400) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 293037) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2025-11-20 |