NPI | 1265000624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AL 3757) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-12216) |
Enumeration Date | 2021-06-14 |
Last Update Date | 2024-06-28 |