| NPI | 1760698864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10284800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD439392) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2024-09-13 |