| NPI | 1104246107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB11023300) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.012105) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2021-09-01 |