| NPI | 1760913222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB12545800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 69967-21) |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2025-10-06 |