NPI | 1063731669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA MD448307) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MA10085400) |
Enumeration Date | 2010-05-21 |
Last Update Date | 2020-11-16 |