NPI | 1215427778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11554900) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA S66326772) |
Enumeration Date | 2018-05-10 |
Last Update Date | 2024-10-30 |