| NPI | 1639728751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25mp00625400) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MA060961) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA MA060961) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ 25MP00625400) | |
| 363A00000X Physician Assistant (Licence: NJ 25mp00625400) | |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2024-03-14 |