NPI | 1629537550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11700200) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 000000000) |
Enumeration Date | 2019-03-19 |
Last Update Date | 2023-09-13 |