NPI | 1669585873 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME155928) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA08131300) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2022-08-05 |