NPI | 1689165854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: GA 104878) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 30276) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2025-06-29 |