| NPI | 1366752792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ MA09461800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT196773) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2022-02-08 |