NPI | 1518939495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NJ 25MA06427800) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ MA064278) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2021-05-26 |