NPI | 1558459735 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: TX K4759) |
Additional Taxonomies | 174400000X Specialist (Licence: TX K4759) |
207V00000X Obstetrics & Gynecology (Licence: TX K4759) | |
Enumeration Date | 2006-10-11 |
Last Update Date | 2019-05-23 |