| NPI | 1679884308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 65505-21) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB09577500) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2018-01-25 |