NPI | 1700379294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 1019162) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 276138) |
Enumeration Date | 2018-06-11 |
Last Update Date | 2024-10-07 |