| NPI | 1417574419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA12205400) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD479644) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2024-07-03 |