NPI | 1265793566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A143101) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 252271) |
Enumeration Date | 2012-06-04 |
Last Update Date | 2022-07-21 |