| NPI | 1548752157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11488700) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT215068) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-10-07 |