NPI | 1457390189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09044500) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD421558) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2019-06-11 |