| NPI | 1538320783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS015686) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB09085900) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2017-09-15 |