NPI | 1316054869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 24969) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 147717) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2013-04-01 |