| NPI | 1609867100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NJ 25MA07702900) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA07702900) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ 25MA07702900) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2018-11-30 |