NPI | 1487764601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 127470501205) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00049316) |
207V00000X Obstetrics & Gynecology (Licence: MT MED-PHYS-LIC-50962) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2024-04-17 |