NPI | 1063504983 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD475526) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 41648) |
207V00000X Obstetrics & Gynecology (Licence: UT 9426158-1205) | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2021-12-08 |