NPI | 1255865465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 72197) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 274654) |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: GA 72197) | |
Enumeration Date | 2017-04-13 |
Last Update Date | 2020-09-02 |