| NPI | 1396004644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB09563800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS017785) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2021-01-19 |