NPI | 1487143202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MA12316800) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61141037) |
Enumeration Date | 2018-05-07 |
Last Update Date | 2024-09-25 |