NPI | 1538556444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX 9034211) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101262049) |
Enumeration Date | 2015-04-17 |
Last Update Date | 2022-03-16 |