NPI | 1194174474 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2020-01091) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC MMD.39666LL) |
Enumeration Date | 2016-06-08 |
Last Update Date | 2020-07-01 |