| NPI | 1992088082 |
|---|---|
| Former Name | DIANE M. BAMGBADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NJ 25MA09377500) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09377500) | |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2020-03-12 |