NPI | 1417152075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60459498) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57-011805) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2014-07-22 |