| NPI | 1801235056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MT205227) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11198000) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2022-12-29 |