| NPI | 1578850681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10642000) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301098889) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 59700) | |
| Enumeration Date | 2011-07-09 |
| Last Update Date | 2021-07-23 |