NPI | 1588955025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD454104) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 249432) |
Enumeration Date | 2011-05-02 |
Last Update Date | 2019-02-15 |