| NPI | 1093115297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 345878) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11093800) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 299489) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2025-08-07 |