NPI | 1467604926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VA 0101260024) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: VA 0101260024) |
Enumeration Date | 2008-10-16 |
Last Update Date | 2020-05-08 |