| NPI | 1912947524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA07831200) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD d0063588) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-12-04 |