| NPI | 1508304155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA12738700) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 287692) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2026-03-10 |