NPI | 1053416487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 16313) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 21408) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2015-07-01 |