NPI | 1184249682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2024-02406) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 11940) |
Enumeration Date | 2020-06-10 |
Last Update Date | 2024-08-22 |