| NPI | 1053647222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB09063800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT012638) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2024-09-30 |