NPI | 1689849523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 7256620-1205) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 81764) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2021-06-08 |