NPI | 1295829919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME 98869) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 232629) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2017-01-13 |