NPI | 1215005160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA A111057) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME Ec-06-1092) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2022-02-11 |