| NPI | 1710307483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10901100) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 292545-01) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2024-06-24 |