| NPI | 1558611665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A18344) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR DO176571) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ TRAINING PERMIT) | |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2023-01-11 |