NPI | 1548250921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35-090522) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX L7219) |
207V00000X Obstetrics & Gynecology (Licence: KY 36096) | |
Enumeration Date | 2005-10-26 |
Last Update Date | 2012-07-17 |