NPI | 1043622632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10428000) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT207028) |
Enumeration Date | 2014-05-29 |
Last Update Date | 2021-07-27 |