| NPI | 1225395817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11017800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD458367) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2021-03-02 |