| NPI | 1124090485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: PA MD448247) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA08088700) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2013-06-28 |