NPI | 1659429686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA 94761) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A94761) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA MD436950) | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2021-11-22 |