NPI | 1376036251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 362771-01) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11563200) |
Enumeration Date | 2018-06-14 |
Last Update Date | 2024-01-17 |