NPI | 1366676231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2021-03056) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 069312) |
207V00000X Obstetrics & Gynecology (Licence: SC 83721) | |
Enumeration Date | 2009-05-07 |
Last Update Date | 2022-02-22 |