| NPI | 1891081782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 79377) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09741900) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2025-10-21 |