| NPI | 1891130902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 288416) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB10389300) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2025-07-01 |