| NPI | 1154470839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A56412) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA05899300) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2023-09-21 |