NPI | 1558748186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX T6422) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A162098) |
Enumeration Date | 2015-05-04 |
Last Update Date | 2022-08-09 |