NPI | 1104820042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME0064647) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MT 76337) |
Enumeration Date | 2005-06-09 |
Last Update Date | 2023-10-17 |