NPI | 1093209082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VC0300X (Licence: UT 14223979-1205) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2022010565) |
Enumeration Date | 2018-06-21 |
Last Update Date | 2025-07-02 |