| NPI | 1780177295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11536500) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT215463) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2023-03-23 |