NPI | 1003963554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD21095) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101051799) |
207V00000X Obstetrics & Gynecology (Licence: MD D0047186) | |
Enumeration Date | 2007-01-05 |
Last Update Date | 2007-07-08 |