| NPI | 1740501139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11207100) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT197838) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD452204) | |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2024-02-02 |