NPI | 1477970820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MD D0089690) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 57348) |
Enumeration Date | 2014-03-24 |
Last Update Date | 2020-08-24 |