| NPI | 1790720050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09980200) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD426821) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2022-07-21 |