| NPI | 1376064675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB11159500) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT017930) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-09-16 |