| NPI | 1861811960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10745600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD465111) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2021-02-24 |