| NPI | 1700960333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 206186-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0025522) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11699300) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2023-01-20 |