NPI | 1629693718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD60004299) |
Additional Taxonomies | 208600000X Surgery (Licence: SC LL84448) |
Enumeration Date | 2020-06-15 |
Last Update Date | 2025-07-21 |