| NPI | 1386148773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NJ 25MB12280200) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2026-03-03 |