| NPI | 1033365952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10933300) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 249305) |
| 207V00000X Obstetrics & Gynecology (Licence: DE C1-0025506) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2023-01-17 |