| NPI | 1083728166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: LA 207897) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD425223) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ MA09006800) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2025-06-04 |