| NPI | 1659893378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB10722500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB10722500) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2025-08-15 |