| NPI | 1912143900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA09935700) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 249930) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2024-10-16 |