NPI | 1063679983 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09041600) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 241002) |
207V00000X Obstetrics & Gynecology (Licence: PA MD439999) | |
Enumeration Date | 2008-05-19 |
Last Update Date | 2024-02-01 |