| NPI | 1942581616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA MD450353) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD450353) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA08944400) | |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2026-04-24 |