| NPI | 1528358710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10986200) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0011327) |
| Enumeration Date | 2011-04-09 |
| Last Update Date | 2021-02-25 |