NPI | 1396362091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A197105) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2020018851) |
Enumeration Date | 2020-06-29 |
Last Update Date | 2024-10-01 |