| NPI | 1245218163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: NJ 25MA06948700) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD445967) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2022-07-08 |