NPI | 1124036496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD446044) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01042700A) |
207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09208100) | |
Enumeration Date | 2006-08-03 |
Last Update Date | 2016-09-02 |