NPI | 1255397352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME66572) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 0066572) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2020-04-14 |