| NPI | 1871538009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101239846) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA0839500) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2011-07-15 |