NPI | 1285619510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KY 44048) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 237268-1) |
Enumeration Date | 2005-12-09 |
Last Update Date | 2012-04-17 |