| NPI | 1902177074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MO 2016022154) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB09043200) |
| Enumeration Date | 2012-01-22 |
| Last Update Date | 2016-11-03 |