NPI | 1629112917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: PA MD049827L) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 31792) |
207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: KY 31792) | |
Enumeration Date | 2007-02-19 |
Last Update Date | 2023-01-31 |