| NPI | 1649768144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11459800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ G62234508255892) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2023-03-08 |