| NPI | 1700922754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 57274-21) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB07959600) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2014-02-12 |