| NPI | 1043622632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10428000) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT207028) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2021-07-27 |