| NPI | 1578091419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD473492) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11047200) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2022-05-31 |