NPI | 1508040684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2012-01505) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A102307) |
Enumeration Date | 2007-12-25 |
Last Update Date | 2021-04-06 |