| NPI | 1952981763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI Pending) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ Pending) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2022-03-22 |