NPI | 1861981664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301502597) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ H00896020058946) |
Enumeration Date | 2018-05-07 |
Last Update Date | 2023-07-11 |