NPI | 1700855517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD169393) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101232018) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2021-12-14 |