NPI | 1720421282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A162311) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 278453) |
Enumeration Date | 2013-04-15 |
Last Update Date | 2020-11-11 |