| NPI | 1659686863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11764100) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 048545) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2023-08-28 |