| NPI | 1770947574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NJ 25MA11838200) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2023-08-10 |