NPI | 1235392010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60208279) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT184201) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2013-09-06 |