NPI | 1205282522 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10332300) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD15452) |
Enumeration Date | 2016-05-05 |
Last Update Date | 2021-07-23 |