NPI | 1730677527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 312539) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NJ H60011678851902) |
Enumeration Date | 2018-04-26 |
Last Update Date | 2024-09-12 |