NPI | 1467658302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 55405-20) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2007017299) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2016-09-15 |