NPI | 1154487403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 173581) |
Additional Taxonomies | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: TX H9059) |
207VX0000X Obstetrics & Gynecology Obstetrics (Licence: TX H9059) | |
Enumeration Date | 2006-12-29 |
Last Update Date | 2019-08-21 |