| NPI | 1770725327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09337500) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 306942) |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2023-03-07 |