NPI | 1255586509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD H76054) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H76054) |
207Q00000X Family Medicine (Licence: PA OT012625) | |
Enumeration Date | 2008-11-28 |
Last Update Date | 2018-06-04 |