| NPI | 1780749945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ MA53556) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NJ MA53556) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-09-30 |