NPI | 1023420486 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD470686) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD 4404) |
207V00000X Obstetrics & Gynecology (Licence: PA FG7823378) | |
Enumeration Date | 2014-05-20 |
Last Update Date | 2024-02-23 |