NPI | 1962474841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA06569800) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ MA065698) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2021-05-26 |