NPI | 1174935035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60838564) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R74320) |
Enumeration Date | 2014-05-27 |
Last Update Date | 2022-03-18 |