NPI | 1801235056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MT205227) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11198000) |
Enumeration Date | 2013-06-20 |
Last Update Date | 2022-12-29 |