NPI | 1083057590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 289353) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 150026) |
Enumeration Date | 2013-04-15 |
Last Update Date | 2018-07-12 |