| NPI | 1164468161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD441088) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ MA71710) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2011-01-14 |