NPI | 1053328013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX Q2026) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM 2003-0491) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2021-02-03 |