NPI | 1073880134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS13296) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT014201) |
Enumeration Date | 2011-11-17 |
Last Update Date | 2023-06-22 |