NPI | 1558416503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA MD425716) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD425716) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MA08490100) | |
Enumeration Date | 2007-01-23 |
Last Update Date | 2019-10-18 |