| NPI | 1972687473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: NJ MA67679) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: PA MD68031L) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-02-04 |