NPI | 1598017048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101020125) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101020125) |
Enumeration Date | 2012-10-09 |
Last Update Date | 2020-12-23 |