NPI | 1275536179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q9912) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35076975S) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2019-11-11 |