NPI | 1720198005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 4301048768) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI LW048768) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2010-02-01 |