| NPI | 1649711433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10743700) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 331810) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2024-10-21 |