| NPI | 1023271640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MB08876500) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NJ 25MB08876500) |
| 171000000X Military Health Care Provider | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2022-03-16 |