NPI | 1205095403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NV DO2456) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 46723) |
207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CO DR-46723) | |
Enumeration Date | 2008-06-03 |
Last Update Date | 2023-04-20 |