NPI | 1174506315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C148024) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 50015) |
207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 4301056342) | |
Enumeration Date | 2005-11-22 |
Last Update Date | 2023-02-20 |