NPI | 1063867893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX S8051) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX S8051) |
207V00000X Obstetrics & Gynecology (Licence: TX BP10056744) | |
Enumeration Date | 2016-04-29 |
Last Update Date | 2023-12-21 |