NPI | 1326166307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA05785700) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ MA57857) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2021-07-23 |