| NPI | 1174140941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MT220713) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA12318000) |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2024-07-02 |