NPI | 1689673006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AL 12943) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AR c6942) |
Enumeration Date | 2005-07-18 |
Last Update Date | 2007-07-08 |