NPI | 1730526724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 2020031614) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2020031614) |
207V00000X Obstetrics & Gynecology (Licence: NE 6937) | |
Enumeration Date | 2013-05-30 |
Last Update Date | 2021-08-04 |