| NPI | 1104250117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA09840000) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 27031) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2020-01-31 |