| NPI | 1982866554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB082853) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 5289) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2021-10-08 |