NPI | 1972997088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MA11419300) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2019009627) |
Enumeration Date | 2015-03-26 |
Last Update Date | 2022-07-01 |