| NPI | 1629330162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA12472800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD458075) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2025-07-17 |