| NPI | 1922082155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD057887L) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ MA074602) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2012-01-12 |