NPI | 1285054288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD465421) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57.024078) |
Enumeration Date | 2014-04-17 |
Last Update Date | 2021-09-27 |