NPI | 1295794386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: SC 84806) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 101054118) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2024-03-07 |