NPI | 1568997070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MA12212000) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 311650) |
207V00000X Obstetrics & Gynecology (Licence: NJ 25MA12212000) | |
Enumeration Date | 2017-04-22 |
Last Update Date | 2024-08-15 |