NPI | 1174152227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD487771) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 77516-20) |
Enumeration Date | 2020-04-01 |
Last Update Date | 2025-07-11 |