NPI | 1578658654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX K7545) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101012247) |
207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OK 3325) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2023-11-06 |