| NPI | 1063679983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09041600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 241002) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD439999) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2024-02-01 |