NPI | 1588810170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10927200) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD449648) |
Enumeration Date | 2008-08-14 |
Last Update Date | 2021-04-05 |