NPI | 1083728166 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: LA 207897) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD425223) |
207V00000X Obstetrics & Gynecology (Licence: NJ MA09006800) | |
Enumeration Date | 2006-08-18 |
Last Update Date | 2024-04-12 |