NPI | 1184202491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA12687300) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA 0000000000) |
Enumeration Date | 2021-03-30 |
Last Update Date | 2025-08-11 |