| NPI | 1679067516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11589600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT216541) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2022-11-03 |