NPI | 1033348487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AZ 47651) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA Not yet issued) |
Enumeration Date | 2009-07-07 |
Last Update Date | 2015-09-18 |