NPI | 1245675685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60854519) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 63078) |
Enumeration Date | 2013-04-29 |
Last Update Date | 2018-06-18 |