| NPI | 1821450990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10790800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 303611) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2023-09-18 |