| NPI | 1457644502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD454199) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10430900) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT199653) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2020-02-10 |