NPI | 1649682147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OK 43170) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 57623) |
Enumeration Date | 2014-06-02 |
Last Update Date | 2024-08-15 |