| NPI | 1164833059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OT015786) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB10234200) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2018-08-08 |