NPI | 1316038003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q4030) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2007014746) |
207V00000X Obstetrics & Gynecology (Licence: OH 35094233) | |
Enumeration Date | 2006-09-27 |
Last Update Date | 2018-08-08 |