| NPI | 1053496323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD060969) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA06617500) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-10-10 |