NPI | 1093825911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: GA 72124) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60036782) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2014-11-19 |