NPI | 1255782322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 32644) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 7763) |
Enumeration Date | 2016-06-29 |
Last Update Date | 2020-07-29 |