| NPI | 1861443467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 211595) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA06890900) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-08-25 |