| NPI | 1962474841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA06569800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ MA065698) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2021-05-26 |