NPI | 1609139294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD452371) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD452371) |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: PA MD452371) | |
Enumeration Date | 2012-06-19 |
Last Update Date | 2019-09-18 |