NPI | 1063760387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 89212) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD047271) |
Enumeration Date | 2012-08-16 |
Last Update Date | 2023-05-08 |