| NPI | 1861981664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301502597) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ H00896020058946) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2023-07-11 |