| NPI | 1790245637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA13228400) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VT 042-0017097) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2026-08-06 |