NPI | 1639471568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2022-00135) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD443272) |
Enumeration Date | 2010-11-29 |
Last Update Date | 2022-09-01 |