NPI | 1114106119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 314051) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.094008) |
207V00000X Obstetrics & Gynecology (Licence: IL 036.121395) | |
Enumeration Date | 2007-10-26 |
Last Update Date | 2022-11-30 |