NPI | 1508051020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD60140509) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX M6887) |
Enumeration Date | 2007-09-07 |
Last Update Date | 2016-09-15 |