NPI | 1639596117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101274785) |
Additional Taxonomies | 208D00000X General Practice (Licence: NE 28819) |
Enumeration Date | 2014-03-24 |
Last Update Date | 2022-10-13 |