NPI | 1306839840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 23433) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA MD60426326) |
Enumeration Date | 2005-08-30 |
Last Update Date | 2025-02-28 |