NPI | 1134557952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX R9538) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX R9538) |
207V00000X Obstetrics & Gynecology (Licence: PA OS017932) | |
207V00000X Obstetrics & Gynecology (Licence: NJ 25MB09374900) | |
Enumeration Date | 2013-10-15 |
Last Update Date | 2020-03-02 |