NPI | 1104898550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61474775) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID M7450) |
207V00000X Obstetrics & Gynecology (Licence: OH M7450) | |
Enumeration Date | 2006-02-01 |
Last Update Date | 2024-05-29 |