NPI | 1366972218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301112508) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VT 042-0015311) |
Enumeration Date | 2017-06-14 |
Last Update Date | 2022-03-10 |