NPI | 1699765255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: MA 53787) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 53787) |
Enumeration Date | 2005-10-25 |
Last Update Date | 2013-12-06 |