| NPI | 1588789796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ 25MA09493000) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 044358) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09493000) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2024-05-24 |