NPI | 1063469831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ MA51433) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD035199E) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2016-04-19 |