NPI | 1366552671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD478779) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA09791600) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2022-11-28 |