| NPI | 1770102014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MT221474) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA12314600) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2024-07-31 |