NPI | 1144268095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 068605) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD424592) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2018-03-12 |