| NPI | 1205218682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: NJ 25MA11535500) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11535500) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2022-09-15 |