Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD451794 | PA |
NPI | 1396992400 |
---|---|
Provider Name | Dr. Sonya Nichole Ephraim |
First Address | Allentown, PA 18103-3691 |
Second Address | Allentown, PA 18103-3691 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2008 |
Last Update Date | 25/01/2017 |