| NPI | 1912165960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEG HENLEY Office Manager 215-348-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA MA003232L) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |