| NPI | 1861487894 |
|---|---|
| Former Name | FAITH RENEE HORTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA08293800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 236216) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2007-12-12 |