| NPI | 1417442062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 174997) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 1111111) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2022-08-19 |