| NPI | 1205356540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11032900) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT214004) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2021-07-07 |