| NPI | 1801055439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA10770200) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101243635) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2025-08-13 |