NPI | 1528550290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2022-00420) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 275749) |
Enumeration Date | 2018-05-30 |
Last Update Date | 2022-11-02 |