NPI | 1194119172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OR MD209836) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61270523) |
Enumeration Date | 2015-03-26 |
Last Update Date | 2022-09-15 |