NPI | 1902135577 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 167406) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09040900) |
Enumeration Date | 2009-12-10 |
Last Update Date | 2020-04-08 |