NPI | 1043250921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301067797) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MI 4301067797) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2020-10-26 |