NPI | 1184061491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WI 72670) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35131830) |
Enumeration Date | 2013-05-28 |
Last Update Date | 2025-10-06 |