| NPI | 1962813808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10413200) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD461862) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2022-12-01 |