NPI | 1528061470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD451403) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN MD 30036) |
207V00000X Obstetrics & Gynecology (Licence: VA 0101050787) | |
Enumeration Date | 2005-05-24 |
Last Update Date | 2024-04-29 |