| NPI | 1538176870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA12241500) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101248680) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 183810) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-06-03 |