| NPI | 1356905319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 77516) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11776900) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2024-09-29 |