NPI | 1164954996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA MD472785) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD472785) |
286500000X Military Hospital (Licence: PA MD472785) | |
Enumeration Date | 2017-03-30 |
Last Update Date | 2024-06-21 |