NPI | 1457551277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL OS12453) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX N1653) |
Enumeration Date | 2007-07-19 |
Last Update Date | 2014-07-31 |