| NPI | 1811310154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA12303900) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 205162) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2025-02-11 |