NPI | 1679669543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MO 118533) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: MO 118533) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2010-03-30 |