NPI | 1396201927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NC 0010-11364) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2019-02-19 |
Last Update Date | 2022-11-16 |