NPI | 1992197065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10490200) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A134746) |
Enumeration Date | 2015-02-26 |
Last Update Date | 2021-08-12 |