NPI | 1063627362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA A108156) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301088413) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2020-04-13 |