| NPI | 1871675322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA04685500) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NJ 25MA04685500) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2019-02-17 |