| NPI | 1942941265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA13091300) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 342518) |
| Enumeration Date | 2022-04-03 |
| Last Update Date | 2026-04-29 |