| NPI | 1922019371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 212221-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA12267100) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2026-02-06 |