| NPI | 1497307052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD473157) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ P18-00418) |
| Enumeration Date | 2019-07-14 |
| Last Update Date | 2021-09-16 |