NPI | 1205968765 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60129073) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 238171) |
Enumeration Date | 2007-03-11 |
Last Update Date | 2019-07-31 |