| NPI | 1750646634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB11739200) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT014911) |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2023-09-06 |