| NPI | 1205282522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10332300) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD15452) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2021-07-23 |