| NPI | 1093973075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2013-00397) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 1023349) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09123900) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2025-09-05 |