NPI | 1003888660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MN 24393) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 24393) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2013-02-06 |