NPI | 1699000158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA10108100) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD447014) |
Enumeration Date | 2009-10-16 |
Last Update Date | 2020-01-13 |