NPI | 1306335229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 322198) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ P07954017453922) |
207V00000X Obstetrics & Gynecology (Licence: PA MD477588) | |
Enumeration Date | 2018-05-07 |
Last Update Date | 2023-04-11 |