| NPI | 1023548229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB11076200) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT017914) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2022-07-21 |