NPI | 1447357587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA MD00024035) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OR MD13589) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |