NPI | 1063674919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS13366) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 60256755) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2015-12-11 |