| NPI | 1346735479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA12210700) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD477930) |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2024-09-04 |