NPI | 1205217866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A172987) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2019-00277) |
Enumeration Date | 2015-06-09 |
Last Update Date | 2024-03-14 |