| NPI | 1669707113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2010006156) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA08662100) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101277603) | |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2023-04-13 |