NPI | 1497773154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 233941) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 48852) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2007-09-18 |