NPI | 1073587028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 55903-20) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 36339) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2021-12-30 |